What is Venous and Vein Disease?

Vein disease, also called venous disease, can develop over months or years from malfunctioning vein valves in legs. Normally functioning valves prevent backflow of blood down the legs and keep blood moving towards the heart. In a patient with vein disease, broken valves do not hold a seal and blood pressure builds up in the lower legs, leading to pooling blood called venous stasis. This results in leg swelling and skin changes.

Request a vein disease consultation today if you are experiencing any of the following symptoms:

Pain in the legs, including cramping and aching
Darkening of the skin around the lower legs, ankles and feet
Thick skin on the lower legs and ankles
Swelling of the legs, restless legs
Varicose and spider veins on the legs
Chronic pelvic pain

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The later vein disease is detected, the harder it can be to treat. Luckily, since venous disease can be a slowly progressing chronic condition, later symptoms can be avoided with immediate screening and treatment. If you notice these symptoms, contact us today for expert evaluation and management of your vein disease.

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What Causes Chronic Vein Disease?

Anything that can physically damage vein valves can lead to chronic vein disease. Two common causes are deep vein thrombosis and superficial venous thrombosis. These are both conditions where blood clots form in veins. Once the clot dissolves, they leave scar tissue and permanent damage on the valves, preventing them from opening and closing properly. Also, some patients are predisposed to malfunctioning valves due to genetics and family history, such as a parent or grandparent with varicose veins. Women with multiple pregnancies are at a higher risk of developing chronic venous disease.

Pelvic tumors and vascular malformations, leading to abnormal flow of blood and pressure gradients in the vasculature, can lead to chronic vein disease. Additionally, chronic venous disease is associated with being overweight. Finally, weakness in leg muscles that squeeze blood back to the heart can also contribute to the development of vein disease.

What Are Venous Disease Symptoms?

Chronic vein disease begins with small varicose veins, and can gradually progress to larger veins. As new veins develop and symptoms worsen, legs may experience swelling. This tends to occur more with long periods of standing or sitting. The swelling, when present for long periods of time, can lead to iron (hemosiderin) deposition in the skin known as lipodermatosclerosis. Later in the disease process, leg ulcers develop that require additional medical treatment to heal.

Symptoms of Chronic Venous Disease include:

Swelling of the legs or ankles (edema)
Pain that worsens with prolonged sitting or standing
Pain that improves with leg elevation
Pain when walking that relieves with rest
Cramping of the legs
Throbbing sensation in the legs
Achy feeling in legs
Heaviness feeling in the legs
Itchy skin and sensation in the legs
Thickening of the skin with “woody” changes
Skin around the ankles changing colors to red or brown
Wounds on the lower legs that do not heal, usually around and above the ankles
Newly formed varicose veins
Abnormally flaky skin, or abnormally moist skin
Tightness in the calves

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How Is Chronic Vein Disease Treated?

The first step in treating venous disease is to reduce to pressure in the veins. Our experienced physicians will recommend treatment options based on the cause of your leg condition, your health status, and your history. Other factors we consider are:

Onset, duration, timing, exacerbating and relieving factors of your symptoms
Your age
Severity of your condition
Presence of ulcers and skin changes
Your past history of blood clots and DVT
Your ability to tolerate medications and procedures

Initial chronic vein disease treatment usually includes compression stockings, leg elevation, exercise, weight loss, moisturizing the skin to prevent cracks, and prescription medications. Many patients benefit from venous closure using radio frequency ablation and ultrasound guided percutaneous sclerotherapy.

In serious cases, venous closure may needed immediately, for instance to close a venous stasis ulcer. Some cases require a procedure to improve blood flow in deep veins of the legs, using angioplasty and/or stents.

Ultimately, the goal of our recommended therapy is to increase venous return from the legs (push blood back up the leg), thereby decreasing symptoms associated with vein disease and preventing further venous disease progression.

Our doctors are vascular and vein experts, providing you with the safest choice for successful treatment of vein disease.

Call 832-886-0137 today to schedule your appointment.

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I highly recommend Hamilton. I received care for varicose veins in my left leg at the Sugar Land Clinic. I was attended by thoroughly professional staff from check-in forward. Covid guidelines were followed by all. Procedures were performed by Dr Hamilton and PA Meghan Ong. Both are highly skilled, personable and time efficient. — Steve S.

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Dr. William Parker is an incredible doctor!!!! He is honest, personable, professional, and truly cares about treating your condition in the best way possible! I'm extremely happy with his services provided! Thank you, Dr. Parker!!!! Your passion for your profession shows exuberantly!!!!!!! You staff is just as awesome as you are!!!!! I felt like family! All around great experience! – Mel G.

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Dr. Hamilton and all his staff are attentive, courteous, and patient. I have not had to wait more than 10 minutes for any appointment. He takes time to explain any procedure and answer all questions. I couldn't ask for a better experience from any doctor. – Carlos G.

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I was very nervous at first, but the staff is awesome. they are very comforting and made sure I had no discomfort throughout the entire procedure. I would strongly recommend them. I finally went to them after being misdiagnosed. 10 yrs ago if I only known sooner. I thank my new doctor for recommending them. – Mikey L.

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I was apprehensive about the procedure and processes until I met the doctor and staff! The service was professional, caring, and friendly. The process was not as frightful as my imagination had prepared me for! Was it painful? They used a topical numbing solution that helped. Do understand that the veins in my legs looked like an internal image of the venous system you might find on WebMD! So imagine how much work the doctor had in front of him! They have healed nicely and I have more to undertake but I look forward to completing the process soon. I must add that for 6 months I drove 4.5 hours each way to have this doctor treat my problem legs! That alone says a great deal about his talent and methods! – Regina S.

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I am pretty active and at the beginning of the stay at home we were walking 3 mi a day. But in retrospect and learning what I know today I have been exhibiting some pretty classic signs of vein disease for several years. And it caught up to me as one day I was walking and the next day I was hobbling around the house with some cramping like feeling in my leg. I got referred to Hamilton Vein. The experience with the ENTIRE staff was excellent. They were friendly, caring, professional and efficient. They are very good at what they do!! – Buckeye